[논문]The Effect of Complex Ankle Exercises on Balance with Functional Ankle Instability in Twenties

Kim, Ki Jong; Ji, Sung Ha; Kim, Jin Young

doi:10.20540/jiaptr.2017.8.2.1190

The Effect of Complex Ankle Exercises on Balance with Functional Ankle Instability in Twenties 원문보기

Journal of international academy of physical therapy research, v.8 no.2, 2017년, pp.1190 - 1194

Kim, Ki Jong (Cheongam College) , Ji, Sung Ha (Joong-ang Saeng Oriental Medicine Hospital) , Kim, Jin Young (Howon University)

Abstract ▼ AI-Helper

The purpose of this study was to investigate the complex ankle exercises on balance. 22 participants (male: 14, female: 8) with functional ankle instability were participated. Functional ankle instability was selected to be less than 24 points using the Cumberland ankle instability tool (CAIT) with people who had severe ankle sprain and then experiencing ankle giving way. A total of 20 minutes performed three times a week for four weeks with muscle strength and balance exercises. Muscle strengthening exercise was performed with Theraband, and balance exercise was performed with unstable support plates. Biodex balance system(R) was used to measure static and dynamic balance. The dynamic balance was selected in grade 2, 4, and 8. The static and dynamic balance (grade: 2, 4,and 8) balance was significantly decreased in anterior-posterior, and medial-lateral directions (p<.05). The instability was significantly increased after exercise (p<.05). These results suggest that complex exercises are beneficial to decreasing the functional ankle instability.

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문제 정의

As limitations of this study, we did not apply the analysis through the control group because it proceeded as a single group with a short intervention period. In addition, this study provided strength and balance training, but authors clearly not know that which is more effect to this research. In future studies, it will provide a better insight into the visual effects of ankle intervention when set a control group for the application of a medicine ball.
The purpose of this study was to investigate the effect of complex ankle exercises on functional ankle instability by changing the unstable support surface. All participants were in twenties.

제안 방법

A total of 20 minutes were performed three times a week for four weeks with muscle strength (10 minutes) and balance (10 minutes) exercises in W university training center. Muscle strength exercise performed four directions such as dorsiflexion, plantar flexion, inversion and eversion to ankle joint using Therabands ¹⁰⁾.
As limitations of this study, we did not apply the analysis through the control group because it proceeded as a single group with a short intervention period. In addition, this study provided strength and balance training, but authors clearly not know that which is more effect to this research.
They still did not find the appropriated treatment for ankle sprains. Therefore, this study attempted the complex exercises applying balance exercise through changing of unstable supporting surface with a medicine ball, and muscle strength exercise. Thus, we would like to provide you with information on how to find optimal treatment for an ankle sprain.

대상 데이터

This study was conducted with twenties university students who have living in Daejeon city. A total of 22 subjects (male: 14, female: 8) were selected for functional ankle instability. Functional ankle instability was selected to be less than 24 points using the Cumberland ankle instability tool (CAIT) with people who had severe ankle sprain.
This study was conducted with twenties university students who have living in Daejeon city. A total of 22 subjects (male: 14, female: 8) were selected for functional ankle instability.

데이터처리

0 was used for calculated the mean and standard deviation of all data measured in this study. To compare before and after exercises, a paired-samples t-test was conducted. The significance level of all statistical analyzes was set to p = 0.

성능/효과

Cumberland ankle instability tool (CAIT) has commonly used as an evaluation tool which has high reliability and validity for functional ankle instability ²⁴⁾. In this study, the CAIT scores were increased from 14.5 to 20.7; an improvement was 42.8%. The use of the medicine ball which improves the exercise effect may have contributed greatly despite the short intervention period of this study ²⁵⁾.

참고문헌 (28)

Hung YJ. Neuromuscular control and rehabilitation of the unstable ankle. World J Orthop 2015; 6(5): 434-8.

상세보기
Dubin JC, Comeau D, McClelland RI, et al. Lateral and syndesmotic ankle sprain injuries: a narrative literature review. J Chiropr Med 2011; 10(3): 204-19.

상세보기
Junge A, Engebretsen L, Mountjoy ML, et al. Sports injuries during the Summer Olympic Games 2008. Am J Sports Med 2009; 37(11): 2165-272.

상세보기
Best R, Mauch F, Bauer G. Evidence for treatment of acute syndesmosis injuries in sports. Unfallchirurg 2013; 116(6): 504-11.

상세보기
Raugust J. The effect of functional ankle instability on peroneal reflex latency. UAHSJ 2006; 3: 16-9.
Hertel J. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train 2002; 37(4): 364-75.

상세보기
Petersen W, Rembitzki IV, Koppenburg AG, et al. Treatment of acute ankle ligament injuries: a systematic review. Arch Orthop Trauma Surg 2013; 133(8): 1129-41.

상세보기
Eisenhart AW, Gaeta TJ, Yens DP. Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J Am Osteopath Assoc 2003; 103(9): 417-21.

상세보기
McGovern RP, Martin RL. Managing ankle ligament sprains and tears: current opinion. Open Access J Sports Med 2016; 7: 33-42.
Kim KJ. Impact of combined muscle strength and proprioceptive exercises on functional ankle instability. J Int Acad Phys Ther Res 2013; 4(2): 600-4.

원문보기 상세보기
Webster KA, Gribble PA. Functional rehabilitation interventions for chronic ankle instability: a systematic review. J Sport Rehabil 2010; 19(1): 98-114.

상세보기
Vaes P, Duquet W, Van Gheluwe B. Peroneal Reaction Times and Eversion Motor Response in Healthy and Unstable Ankles. J Athl Train 2002; 37(4): 475-80.

상세보기
Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004; 85(3 Suppl 1): S86-92.
Kim KJ, Jun HJ. Effects of Virtual Reality Programs on Proprioception and Instability of Functional Ankle Instability. J Int Acad Phys Ther Res 2015; 6(2): 891-5.

원문보기 상세보기
Baek SJ. The effect of elastic resistive band and ankle disc training on the strength and balance of the ankle in volleyball athletes. Graduate school of Seoul National University. Master's thesis; 2003.
Cha SH. The Effects of Baps Board Training and Trampoline Training on Functional Stability of Ankles. Graduate school of Sports & Leisure Studies Kyungwon University. Master's thesis; 2008.
Kim KJ, Heo M. Effects of virtual reality programs on balance in functional ankle instability. J Phys Ther Sci 2015; 27(10): 3097-101.

상세보기
McKeon PO, Hertel J. The dynamical-systems approach to studying athletic injury. Athletic Therapy Today 2006; 11(1): 31-3.

상세보기
McKeon P, Ingersoll C, Kerrigan DC, et al. Balance training improves function and postural control in those with chronic ankle instability. Medicine & Science in Sports & Exercise 2008; 40(10): 1810-19.

상세보기
Na Y, Seong Y, Lee H, et al. The effects of ankle disk training in functional ankle instability. Medicine & Science in Sports & Exercise 1999; 31(5): S357.
Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction of balance. Suggestion from the field. Physical Therapy 1986; 66(10): 1548.

상세보기
Dault MC, Yardley L, Frank JS. Does articulation contribute to modifications of postural control during dual-task paradigms? Cognitive Brain Research 2003; 16(3): 434-440.

상세보기
Patel M, Fransson PA, Lush D, et al. The effect of foam surface properties on postural stability assessment while standing. Gait Posture 2008; 28(4): 649-56.

상세보기
Sawkins K, Refshauge K, Kilbreath S, et al. The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc 2007; 39(5): 781-7.

상세보기
Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Physical therapy 2000; 80(6): 564-9.

상세보기
Nichols DS, Glenn TM, Hutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Phys Ther 1995; 75(8): 699-706.

상세보기
Laszlo JI. Motor control and learning: how far do the experimental tasks restrict our theoretical insight? Advances in psychology 1992; 84: 47-79.
Ashton-Miller J. Proprioceptive thresholds at the ankle: Implications for the prevention of ligament injury. Proprioception and neuromuscular control in joint stability 2000: 279-91.

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